Claims Investigator

Investigate and check the validity of claims submitted to the company.Inspect on the spot damages of vehicles and checks adaptability of existing policy provision and other relevant details that pertain to the policy such as status of premium payment, status of policy, etc. to develop recommendation or actions to be taken.Evaluate/Adjust claims to be paid to...

QualificationsBachelor's degree in Civil EngineeringPrior experience in property claims adjusting is an advantageStrong analytical, investigative, and communication skillsProficiency in report writing and documentationWilling to work in Cebu BranchOpportunity to travel to different locationsSkillsConduct site inspections and gather evidence to determine loss...

Job OpportunityWe're looking for a skilled professional to manage customer claims related to promotional products.A key responsibility is investigating and resolving customer complaints, including those related to imprinting errors, delivery delays, pricing discrepancies, incorrect products, or issues affecting overall product quality and integrity.The...

QualificationsGraduate of any 4-year courseGraduate of Criminology is an advantageExperience in motor claims adjusting or investigation is a plusStrong attention to details and investigative skillsGood communication and interpersonal abilitiesWilling to work in Davao, or Makati officeOpportunity to travel to different locationsSkillsInvestigate and process...

Polaris Reinsurance Brokers, Inc. is a licensed professional reinsurance brokerage firm in the Philippines dedicated to providing innovative and reliable risk management solutions.With deep industry knowledge and strong relationships with both local and international reinsurers, Polaris Reinsurance delivers customized reinsurance programs designed to...

Job SummaryThe Medical Billing Specialist is responsible for monitoring medical claims, investigating rejections and denials, and documenting account activities. This role involves posting adjustments, managing collections from various payers, and maintaining a deep understanding of eligibility requirements and payment methodologies.Key...

Delegate CX is seeking a highly skilled and detail-oriented Claims Representative to join its team.Job Description:The role of the Claims Representative will be to investigate and resolve customer claims related to branded and imprinted merchandise.Responsibilities:Investigate incoming customer claims related to promotional product orders.Collaborate with...

Job SummaryA claims processor is responsible for reviewing and evaluating customer claims, ensuring their accuracy, eligibility, and compliance with policies. This involves investigating claims, determining validity, and settlement amounts while maintaining detailed records.Main Responsibilities:Review and evaluate customer claims submitted through various...

Healthcare Claims AnalystWe are seeking a skilled Healthcare Claims Analyst to join our team. In this role, you will be responsible for reviewing, researching, investigating, negotiating and resolving all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities.You will analyze, identify trends and...

1. Properly adjudicate reimbursement claims on outpatient, inpatient benefits of policyholders on a health policy.2. Accurately determine if a medical condition is a covered benefit based on the policy provisions, terms, and conditions.3. Adjudicate reimbursement claims in accordance with the different processes within defined authority limit and escalate to...